FDA Adverse Event Injury Summary report: N

GIRAFFE SPOT LIGHT

MDR report key: 584100 · Received March 18, 2005

Report

Report Number
1121732-2005-00003
Event Type
Injury
Date Received
March 18, 2005
Date of Event
February 20, 2005
Report Date
March 17, 2005
Manufacturer
OHMEDA MEDICAL
Product Code
LBI
Removal / Correction Number
Z-0160-6
Adverse Event
Yes
Product Problem
Yes
Report Source
Manufacturer report
Reporter Location
IN, US
Reporter Occupation
OTHER

Narratives

Description of Event or Problem · 1

CUSTOMER REPORTED PT WAS BURNED DURING PHOTOTHERAPY WITH THE GIRAFFE SPOT PT LIGHT. CUSTOMER REPORTED THEY HAD THE LIGHT POSITIONED APPROX 6" FROM THE PT. INVESTIGATION/CONCLUSION: THE USER MANUAL WARNS THE USER THAT THE LIGHT SHOULD BE POSITIONED NO CLOSER THAN 15" FROM THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 GIRAFFE SPOT LIGHT PHOTOTHERAPY LBI OHMEDA MEDICAL GIRAFFE SPOT PT LIGHT NA

Patients

Seq Age Sex Outcome Treatment
1 * Required Intervention